Provider Demographics
NPI:1346322658
Name:SARKAR, DIANA DEE (MD DABMA)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:DEE
Last Name:SARKAR
Suffix:
Gender:F
Credentials:MD DABMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10489
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37939
Mailing Address - Country:US
Mailing Address - Phone:865-450-2922
Mailing Address - Fax:865-450-2952
Practice Address - Street 1:6906 KINGSTON PIKE
Practice Address - Street 2:EXECUTIVE PALACE SUITE 200A
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5704
Practice Address - Country:US
Practice Address - Phone:865-450-2922
Practice Address - Fax:865-450-2952
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD012740171100000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
B04105Medicare UPIN